Delegation (request form without engagement)
Address data
Title:*
Title
Mr.
Mrs.
Ms.
Academic title:
Academic title
Dr.
Prof.
Prof. Dr.
Family name:*
First Name:*
Company, Organisation:
Department:
Street & number:*
Postal Code:*
City:*
Country:*
E-mail (of contact person):*
Alternative E-mail:
Telephone:*
Fax:
Mobile:
Delegation visit:*
Date of visit at EUBCE*
Please check at least one of the options.
Monday, June 12, 2017
Tuesday, June 13, 2017
Wednesday, June 14, 2017
Thursday, June 15, 2017
Delegation participants (number and type)*
Country of delegation*
Language spoken by the delegation*
Please indicate how many entrance tickets you need for the exhibition
Please indicate how many entrance tickets you need for the conference
Additional preferences
We plan to organize a tour by ourselves
We would like to have an official welcome reception
If any, please state the company names you wish to contact
Please indicate the purpose of your visit
If your delegation includes VIPs please list names, affiliations and positions
Comments:
I have read the
Privacy policy statement
and I accept to provide my personal data, which will be treated according to the Italian law (art. 13 of D. Lgs. 196/2003), ETA will maintain and use this data in observance of the personal data treatment regulations.